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  • One Session Treatment for Specific Phobias: An Adaptation for Paediatric Blood–Injection–Injury Phobia in Youth

    Author(s)
    Oar, Ella L
    Farrell, Lara J
    Ollendick, Thomas H
    Griffith University Author(s)
    Farrell, Lara J.
    Year published
    2015
    Metadata
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    Abstract
    Blood–injection–injury (BII) phobia is a chronic and debilitating disorder, which has largely been neglected in the child literature. The present paper briefly reviews the aetiology of specific phobias with particular attention to BII and provides an integrated developmental model of this disorder in youth. Evidence-based treatments for child-specific phobias are discussed, and the development of a modified one session treatment (OST) approach to enhance treatment outcomes for BII phobia in children and adolescents is described. This approach is illustrated in two children with a primary diagnosis of BII phobia. The cases ...
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    Blood–injection–injury (BII) phobia is a chronic and debilitating disorder, which has largely been neglected in the child literature. The present paper briefly reviews the aetiology of specific phobias with particular attention to BII and provides an integrated developmental model of this disorder in youth. Evidence-based treatments for child-specific phobias are discussed, and the development of a modified one session treatment (OST) approach to enhance treatment outcomes for BII phobia in children and adolescents is described. This approach is illustrated in two children with a primary diagnosis of BII phobia. The cases illustrate the unique challenges associated with treating BII in youth and the need for a modified intervention. Modifications included addressing the role of pain (e.g., psychoeducation, more graduated exposure steps) and disgust (e.g., disgust eliciting exposure tasks) in the expression of the phobia and fainting in the maintenance of this phobia. Moreover, it is recommended that parents be more actively involved throughout treatment (e.g., education session prior to OST, contingency management training, guidance regarding planning exposure tasks following treatment) and for families to participate in a structured e-therapy maintenance programme post-treatment.
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    Journal Title
    Clinical Child and Family Psychology Review
    Volume
    18
    Issue
    4
    DOI
    https://doi.org/10.1007/s10567-015-0189-3
    Subject
    Psychology not elsewhere classified
    Psychology
    Publication URI
    http://hdl.handle.net/10072/141339
    Collection
    • Journal articles

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